Actual Risk of Using Very Aged Donors for Unselected Liver Transplant Candidates: A European Single-center Experience in the MELD Era

Actual Risk of Using Very Aged Donors for Unselected Liver Transplant Candidates: A European Single-center Experience in the MELD Era

To evaluate the whole experience of liver transplantation (LT) with donors ≥70 years in a single center not applying specific donor/recipient matching criteria. LT with very old donors has historically been associated with poorer outcomes. With the increasing average donor age and the advent of Mode...

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Veröffentlicht in:Annals of surgery 2017-02, Vol.265 (2), p.388
Hauptverfasser: Bertuzzo, Valentina Rosa, Cescon, Matteo, Odaldi, Federica, Di Laudo, Marco, Cucchetti, Alessandro, Ravaioli, Matteo, Del Gaudio, Massimo, Ercolani, Giorgio, D'Errico, Antonietta, Pinna, Antonio Daniele
Format: Artikel
Sprache:eng
Schlagworte:
Age Factors
Aged
Aged, 80 and over
Donor Selection - methods
End Stage Liver Disease - diagnosis
End Stage Liver Disease - surgery
Female
Follow-Up Studies
Graft Survival
Humans
Liver Transplantation
Logistic Models
Male
Outcome Assessment (Health Care)
Postoperative Complications - etiology
Retrospective Studies
Risk
Severity of Illness Index
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Zusammenfassung:To evaluate the whole experience of liver transplantation (LT) with donors ≥70 years in a single center not applying specific donor/recipient matching criteria. LT with very old donors has historically been associated with poorer outcomes. With the increasing average donor age and the advent of Model for End-stage Liver Diseases (MELD) score-based allocation criteria, an optimal donor/recipient matching is often unsuitable. Outcomes of all types of LTs were compared according to 4 study groups: patients transplanted between 1998 and 2003 with donors
ISSN:1528-1140
DOI:10.1097/SLA.0000000000001681